A nurse is caring for an older adult client who has a prescription for lorazepam 0.5 mg. Which of the following findings should the nurse report to the provider immediately?
Disorientation
Anorexia
Increased anxiety
Blurred vision
The Correct Answer is A
A. Disorientation in an older adult after taking lorazepam could indicate an adverse reaction or an excessive sedative effect. It's crucial to report this immediately as it may signify an overdose or an adverse reaction to the medication. Older adults are more sensitive to the sedative effects of benzodiazepines, and disorientation can indicate potential serious side effects.
B. Anorexia (loss of appetite) is a possible side effect of lorazepam but is not typically considered an urgent or immediate concern unless it leads to severe dehydration or other complications.
C. Increased anxiety could potentially occur due to paradoxical reactions to benzodiazepines; however, it's not typically considered an urgent or immediate concern unless it's severe or distressing to the client.
D. Blurred vision is a common side effect of lorazepam and other benzodiazepines. While it should be monitored and reported, it might not be considered an urgent concern unless it's significantly affecting the client's ability to function or is accompanied by other severe symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "It is a good idea to use the handrails in the bathroom":
This statement reflects an understanding of the importance of using handrails in the bathroom for stability and support, especially when getting in and out of the bathtub or shower. Using handrails can prevent slips and falls in this high-risk area.
B. "I should use chairs without armrests":
Using chairs without armrests may not necessarily contribute to fall prevention. Chairs with armrests can provide additional support and stability when sitting down or getting up.
C. "I should place a throw rug over electrical cords":
Placing a throw rug over electrical cords creates a tripping hazard. It is not a safe practice and contradicts fall prevention measures. Throw rugs should be secured and not placed over cords.
D. "I should get a longer cord for my telephone":
Getting a longer cord for the telephone may not be directly related to fall prevention. It is important to focus on measures that enhance safety and reduce fall risks, such as proper lighting, clear pathways, and the use of assistive devices.
Correct Answer is ["10"]
Explanation
To calculate the dose of valproic acid oral solution, the nurse should use the following formula:
Dose (mL) = Desired dose (mg) / Concentration (mg/mL)
Plugging in the values from the question, we get:
Dose (mL) = 500 mg / (250 mg / 5 mL)
Simplifying the fraction, we get:
Dose (mL) = 500 mg / 50 mg/mL
Dividing both sides by 50, we get:
Dose (mL) = 10 mL
Therefore, the nurse should administer 10 mL of valproic acid oral solution.
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